scholarly journals Pilot Study of Implementation of an Internet-Based Depression Prevention Intervention (CATCH-IT) for Adolescents in 12 US Primary Care Practices

2013 ◽  
Author(s):  
Jeffrey C. Eisen ◽  
Monika Marko-Holguin ◽  
Joshua Fogel ◽  
Alonso Cardenas ◽  
My Bahn ◽  
...  
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Prevention Intervention ◽  
Depression Prevention ◽  
Care Practices ◽  
Primary Care Practices

scholarly journals Socializing the evidence for diabetes control to develop “mindlines”: a qualitative pilot study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
John W. Epling ◽  
Michelle S. Rockwell ◽  
Allison D. Miller ◽  
M. Colette Carver
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Research Team ◽  
Performance Metrics ◽  
Diabetes Control ◽  
Intervention Model ◽  
Barriers To Implementation ◽  
Diabetes Intervention ◽  
Care Practices ◽  
Primary Care Practices

Abstract Background Evidence on specific interventions to improve diabetes control in primary care is available, but this evidence is not always well-implemented. The concept of “mindlines” has been proposed to explain how clinicians integrate evidence using specifics of their practices and patients to produce knowledge-in-practice-in-context. The goal of this pilot study was to operationalize this concept by creating a venue for clinician-staff interaction concerning evidence. The research team attempted to hold “mindlines”-producing conversations in primary care practices about evidence to improve diabetes control. Methods Each of four primary care practices in a single health system held practice-wide conversations about a simple diabetes intervention model over a provided lunch. The conversations were relatively informal and encouraged participation from all. The research team recorded the conversations and took field notes. The team analyzed the data using a framework adapted from the “mindlines” research and noted additional emergent themes. Results While most of the conversation concerned barriers to implementation of the simple diabetes intervention model, there were examples of practices adopting and adapting the evidence to suit their own needs and context. Performance metrics regarding diabetes control for the four practices improved after the intervention. Conclusion It appears that the type of conversations that “mindlines” research describes can be generated with facilitation around evidence, but further research is required to better understand the limitations and impact of this intervention.

scholarly journals Socializing The Evidence For Diabetes Control To Develop “Mindlines”: A Qualitative Pilot Study

2021 ◽  
Author(s):  
John W Epling ◽  
Michelle S. Rockwell ◽  
Allison D. Miller ◽  
M. Colette Carver
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Performance Metrics ◽  
Diabetes Control ◽  
Intervention Model ◽  
Barriers To Implementation ◽  
Field Notes ◽  
Diabetes Intervention ◽  
Care Practices ◽  
Primary Care Practices

Abstract Background:Evidence on specific interventions to improve diabetes control in primary care is available, but this evidence is not always well-implemented. The concept of “mindlines” has been proposed to explain how clinicians integrate evidence using specifics of their practices and patients to produce knowledge-in-practice-in-context. We designed a pilot study to operationalize this concept by creating a venue for clinician-staff interaction concerning evidence. We attempted to hold “mindlines”-producing conversations in primary care practices about evidence to improve diabetes control.Methods:In each of four primary care practices in a single health system, we held a practice-wide conversation about a simple diabetes intervention model over a provided lunch. We attempted to keep the conversation relatively informal and encouraged participation from all. We recorded the conversations and took field notes. We analyzed the data using a framework adapted from the “mindlines” research and noted additional emerging themes.Results:While most of the conversation concerned barriers to implementation of the simple diabetes intervention model, we noted examples of practices adopting and adapting the evidence to suit their own needs and context. Performance metrics regarding diabetes control for the four practices improved after the intervention. Conclusion:It appears that the type of conversations that “mindlines” research describes can be generated with facilitation around evidence, but further research is required to better understand the limitations and impact of this intervention.

scholarly journals An Online Influenza Surveillance System for Primary Care Workers in Switzerland: Observational Prospective Pilot Study

10.2196/17242 ◽  
2020 ◽  
Vol 6 (3) ◽  
pp. e17242 ◽  
Author(s):  
Sébastien Martin ◽  
Muriel Nirina Maeder ◽  
Ana Rita Gonçalves ◽  
Baptiste Pedrazzini ◽  
Jean Perdrix ◽  
...  
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Attack Rate ◽  
Surveillance System ◽  
Influenza A ◽  
Influenza Surveillance ◽  
Prospective Pilot Study ◽  
Care Workers ◽  
Care Practices ◽  
Primary Care Practices

Background A better understanding of the influenza epidemiology among primary care workers could guide future recommendations to prevent transmission in primary care practices. Therefore, we designed a pilot study to assess the feasibility of using a work-based online influenza surveillance system among primary care workers. Such an approach is of particular relevance in the context of the coronavirus disease (COVID-19) pandemic, as its findings could apply to other infectious diseases with similar mechanisms of transmission. Objective This study aims to determine the feasibility of using a work-based online influenza surveillance system for primary care workers in Switzerland. Methods Physicians and staff of one walk-in clinic and two selected primary care practices were enrolled in this observational prospective pilot study during the 2017-2018 influenza season. They were invited to record symptoms of influenza-like illness in a weekly online survey sent by email and to self-collect a nasopharyngeal swab in case any symptoms were recorded. Samples were tested by real-time polymerase chain reaction for influenza A, influenza B, and a panel of respiratory pathogens. Results Among 67 eligible staff members, 58% (n=39) consented to the study and 53% (n=36) provided data. From the time all participants were included, the weekly survey response rate stayed close to 100% until the end of the study. Of 79 symptomatic episodes (mean 2.2 episodes per participant), 10 episodes in 7 participants fitted the definition of an influenza-like illness case (attack rate: 7/36, 19%). One swab tested positive for influenza A H1N1 (attack rate: 3%, 95% CI 0%-18%). Swabbing was considered relatively easy. Conclusions A work-based online influenza surveillance system is feasible for use among primary care workers. This promising methodology could be broadly used in future studies to improve the understanding of influenza epidemiology and other diseases such as COVID-19. This could prove to be highly useful in primary care settings and guide future recommendations to prevent transmission. A larger study will also help to assess asymptomatic infections.

scholarly journals Results and Lessons of a Pilot Study of Cascade Screening for Familial Hypercholesterolemia in US Primary Care Practices

2019 ◽  
Vol 35 (1) ◽  
pp. 351-353 ◽  
Author(s):  
Joan Neuner ◽  
David Dimmock ◽  
Alison La Pean Kirschner ◽  
Hollie Beaudry ◽  
Jill Paradowski ◽  
...  
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Familial Hypercholesterolemia ◽  
Cascade Screening ◽  
Care Practices ◽  
Primary Care Practices

scholarly journals An Online Influenza Surveillance System for Primary Care Workers in Switzerland: Observational Prospective Pilot Study (Preprint)

2019 ◽  
Author(s):  
Sébastien Martin ◽  
Muriel Nirina Maeder ◽  
Ana Rita Gonçalves ◽  
Baptiste Pedrazzini ◽  
Jean Perdrix ◽  
...  
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Attack Rate ◽  
Surveillance System ◽  
Influenza A ◽  
Influenza Surveillance ◽  
Prospective Pilot Study ◽  
Care Workers ◽  
Care Practices ◽  
Primary Care Practices

BACKGROUND A better understanding of the influenza epidemiology among primary care workers could guide future recommendations to prevent transmission in primary care practices. Therefore, we designed a pilot study to assess the feasibility of using a work-based online influenza surveillance system among primary care workers. Such an approach is of particular relevance in the context of the coronavirus disease (COVID-19) pandemic, as its findings could apply to other infectious diseases with similar mechanisms of transmission. OBJECTIVE This study aims to determine the feasibility of using a work-based online influenza surveillance system for primary care workers in Switzerland. METHODS Physicians and staff of one walk-in clinic and two selected primary care practices were enrolled in this observational prospective pilot study during the 2017-2018 influenza season. They were invited to record symptoms of influenza-like illness in a weekly online survey sent by email and to self-collect a nasopharyngeal swab in case any symptoms were recorded. Samples were tested by real-time polymerase chain reaction for influenza A, influenza B, and a panel of respiratory pathogens. RESULTS Among 67 eligible staff members, 58% (n=39) consented to the study and 53% (n=36) provided data. From the time all participants were included, the weekly survey response rate stayed close to 100% until the end of the study. Of 79 symptomatic episodes (mean 2.2 episodes per participant), 10 episodes in 7 participants fitted the definition of an influenza-like illness case (attack rate: 7/36, 19%). One swab tested positive for influenza A H1N1 (attack rate: 3%, 95% CI 0%-18%). Swabbing was considered relatively easy. CONCLUSIONS A work-based online influenza surveillance system is feasible for use among primary care workers. This promising methodology could be broadly used in future studies to improve the understanding of influenza epidemiology and other diseases such as COVID-19. This could prove to be highly useful in primary care settings and guide future recommendations to prevent transmission. A larger study will also help to assess asymptomatic infections.

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